DR. RICHARD E BLALOCK II M.D.
NPI 1881943140
Orthopaedic Surgery in Murray, KY

Active since September 02, 2012PECOS EnrolledAccepts Medicare Assignment
76.82/100
CMS Quality Rating
300 S 8TH ST STE 284W, MURRAY, KY 42071(270) 761-5756(270) 752-2856 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2021, Aug 19, 2016 (2 updates tracked since 2016).

About Dr. Richard E Blalock Ii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD E BLALOCK II M.D. (NPI 1881943140) is an individual orthopaedic surgery provider in Murray, Kentucky, licensed in Kentucky (49156) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Murray-calloway County Hospital, and is a graduate of Vanderbilt University School Of Medicine (2010).

NPPES Registry Identity

NPI1881943140
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. RICHARD E BLALOCK IICredential: M.D.
Location Address300 S 8TH ST STE 284WMurray, KY 42071-2452
Mailing Address300 S 8th St, Suite 480wMurray, KY 42071-2400 · (270) 762-1792 · Fax (270) 762-1783
Fax(270) 752-2856
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2010
Enumeration DateSeptember 2, 2012
Last NPPES UpdateAugust 2, 20232 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
NPI 1881943140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in KY · 49156
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
300 S 8TH ST STE 284W, Murray, KY 42071

Other Identifiers 2

Other13861634KY · Caqh
Medicaid7100422690KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard E Blalock Ii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365737079
PECOS Enrollment IDI20160819001002
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,056 services143 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
229 services177 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
211 services123 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
139 services118 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
90 services90 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services35 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Murray-Calloway County Hospital

Acute Care Hospitals · Murray, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180027
Location803 Poplar StreetMurray, KY 42071 · Calloway County
Emergency services Birthing friendly

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180116
Location1099 Medical Center CircleMayfield, KY 42066 · Graves County
Emergency services Birthing friendly

Marshall County Hospital

Critical Access Hospitals · Benton, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number181327
Location615 Old Symsonia RoadBenton, KY 42025 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.18
Promoting Interoperability99
Improvement Activities40
Cost49.4

Reported Quality Measures

Breast Cancer Screening
38%396 patients2/55-star benchmark: 93%
Cervical Cancer Screening
39%401 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
20%110 patients
Closing the Referral Loop: Receipt of Specialist Report
64%439 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
47%902 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
66%328 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
52%124 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
92%3,078 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
17%584 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
86%1,651 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 54% · 1,411 patients
Patients screened: 60% · 1,411 patients
47%168 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%611 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 600 patients
Patients totalRate: 7% · 617 patients
7%617 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114
DME-Other DME · category DE000N
1 supplier15 claims15 services$4.66 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$16.02 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$52.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$91.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
300 S 8TH ST STE 284W
MURRAY, KY 42071
Orthopaedic Surgery
300 S 8TH ST STE 284W
MURRAY, KY 42071
Physician Assistant
300 S 8TH ST STE 284W
MURRAY, KY 42071
Physician Assistant
300 S 8TH ST STE 284W
MURRAY, KY 42071
Orthopaedic Surgery
300 S 8TH ST STE 284W
MURRAY, KY 42071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Blalock's NPI number?

The NPI number for Richard Blalock is 1881943140. It was assigned to this individual provider in the NPPES registry on September 2, 2012.

Where is Richard Blalock located?

Richard Blalock practices at 300 S 8th St Ste 284W, Murray, KY 42071. The listed phone number is (270) 761-5756.

What is Richard Blalock's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Richard Blalock enrolled in Medicare?

Yes. Richard Blalock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Blalock accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Richard Blalock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Blalock affiliated with any hospitals?

According to CMS data, Richard Blalock is affiliated with Murray-Calloway County Hospital, Jackson Purchase Medical Center and Marshall County Hospital.

When was this NPI record last updated?

The NPPES record for Richard Blalock was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.